Clinically reviewed by the Massachusetts Sleep Center clinical team · September 2026
Persistent worry, physical tension and poor sleep can make daily life difficult. Our Massachusetts clinicians help you understand anxiety and develop practical ways to manage it.
Anxiety can affect your body, thoughts and sleep. Symptoms vary, but may include:
Muscle tension, restlessness, a racing heart or an unsettled stomach. You may find it difficult to relax even when there is no immediate problem to address.
Repeated worries about work, health or family; difficulty concentrating; or rehearsing conversations and possible outcomes long after it is useful.
Difficulty falling asleep or returning to sleep because your mind stays active. You may also begin worrying about sleep itself.
Poor sleep can make anxiety worse the next day. When both are present, treatment can address them together.
Our clinicians use cognitive behavioral therapy to help you identify anxious predictions, examine them and practice new responses. They may combine CBT with other approaches suited to your needs.
The team uses approaches including mindfulness, motivational interviewing and Internal Family Systems therapy. Clinician profiles describe individual training and areas of focus.
If you also have insomnia, your clinician can include CBT-I in your treatment plan. Our insomnia treatment page explains what that involves.
Insomnia specialist
Specialities: Insomnia, Anxiety, Substance abuse
Approaches: Cognitive Behavioral Therapy, Mindfulness, Motivational interviewing
Eneida Qirko is a licensed mental health counselor with over 15 years of experience working with children, teens, and adults who are navigating a wide range of mental health concerns, including anxiety, depression, PTSD, relationship stress, life transitions, body image concerns, ADHD, ASD, and mood and personality disorders. She uses evidence-based approaches such as CBT, DBT, ACT, mindfulness, EMDR, and trauma-focused therapies, tailoring treatment to each client’s unique needs. Eneida brings a broad clinical perspective informed by her work in outpatient mental health clinics, emergency departments, private practice, court systems, schools supporting students with ASD, and substance use treatment settings. She has also completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), allowing her to support clients with evidence-based strategies to improve sleep alongside their mental health goals.
Book with Eneida
Insomnia specialist
Specialities: Insomnia, Anxiety, Self Esteem, Depression
Approaches: Cognitive Behavioral Therapy, Motivational interviewing
Maureen Gebhardt is a Licensed Independent Clinical Social Worker who works with young adults and individuals across the lifespan on a range of issues, including addiction, depression, anxiety, relationship challenges, and work stress. She uses evidence-based techniques and a holistic, integrated mental and physical health approach to help clients manage and improve their wellbeing. Maureen has completed specialized training in Cognitive Behavioral Therapy for Insomnia (CBT-I), equipping her to help clients struggling with sleep difficulties. She is committed to creating a safe, supportive, and nonjudgmental space where clients can build on their strengths, develop practical tools for resilience, and take meaningful steps toward the life they want.
Book with MaureenAnxiety therapy is billed under outpatient behavioral health benefits. We accept Aetna, Blue Cross Blue Shield, Cigna / Evernorth, Harvard Pilgrim, Medicare, Tufts Health Plan, UnitedHealthcare / Optum and Veterans Affairs Community Care Network. Copays, deductibles and coverage depend on your plan. Share your insurance details when booking so we can confirm your expected costs.
The GAD-7 asks seven questions about anxiety symptoms over the past two weeks. It was published by Spitzer, Kroenke, Williams and Löwe in 2006. Your answers are scored in your browser and are not sent anywhere.
The score can help start a conversation about your symptoms. It cannot diagnose anxiety, and a low score does not rule out a problem. A clinician considers the result alongside your history and current circumstances.
If you want to talk the number through, an evaluation with a Massachusetts clinician is the next step, and you can book one online.
Anxiety and poor sleep can reinforce each other. Your first evaluation explores when symptoms occur, how they affect your day and what you have tried. Our clinicians treat both anxiety and insomnia, so you do not need to decide which is the main problem before booking.
CBT for generalized anxiety often takes eight to sixteen weekly sessions, but your needs may differ. Your clinician estimates a timeline after the evaluation and reviews it with you as treatment progresses. If you also have insomnia, CBT-I can be included in the plan.
Yes. We do not prescribe medication, and medication decisions remain with your prescriber. With your permission, your therapist can coordinate with them so your care is consistent.
Controlled studies have found similar results for CBT delivered by video and in person. Most of our patients see Massachusetts-licensed clinicians by video. Limited in-person appointments are available; ask about availability when booking.
A score of 15 or above suggests significant anxiety symptoms and is a reason to speak with a clinician soon. It is not a diagnosis. You can bring the result to a clinician you already see or book an evaluation with us. If you ever feel unsafe or are thinking about harming yourself, call or text 988, the Suicide and Crisis Lifeline, at any hour.
Book an evaluation with a Massachusetts clinician, or get started here to tell us about your concerns. If you are considering sleep testing, our sleep study guide explains when it may be useful.
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